Job Description
A healthcare financial services company is seeking an experienced Accounts Receivable HMO Billing Specialist to handle billing and receivables for a group of skilled nursing facilities. This role will be responsible for HMO billing related functions across multiple entities, ensuring claims are submitted accurately, payments are properly tracked, and outstanding receivables are closely monitored. The Accounts Receivable HMO Billing Specialist will handle Managed Medicaid, MLTC, and Commercial p…
8:00 AM
Pull your AR worklist. Claims are sorted by payer, days in AR, and dollar amount. Priority: anything over 60 days old and over $1,…
8:30 AM
Work a batch of Medicare claims stuck in 'processing' status. Log in to the Medicare FISS portal, check claim status on each one.…
9:30 AM
Call the Cigna provider line for a claim that's been in process for 45 days. On hold for 18 minutes. The rep tells you the claim w…
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